Revista Brasileira De Enfermagem最新文献

Objectives: to understand the narratives of sex workers about violence suffered by intimate partners and their coping strategies.

Methods: qualitative research, focused on thematic oral history, carried out with six sex workers in southern Brazil, who responded to in-depth interviews using a flexible script. Thematic content analysis was used.

Results: the study included cisgender women who self-identified as half black and half white. Most had children and were separated. They reported abusive relationships by their intimate partners, with emphasis on verbal, psychological, financial, and physical violence and attempted femicide. Such violence resulted in coping strategies, such as avoiding emotional bonds and maintaining a discreet life.

Final considerations: intimate partner violence is prevalent among participants, leading them to adopt strategies to preserve their safety and well-being, highlighting the need for public policies that meet their particularities and guarantee protection.

Objectives: to characterize the sociodemographic and psychological aspects of university students who sought psychiatric care at a Student Support Center of a Federal University and to analyze associations between mental health issues and predisposing factors.

Methods: a retrospective analysis of 103 medical records was conducted. The statistical analysis consisted of two steps: a descriptive analysis and a predictive analysis using the Logistic Regression Model.

Results: the majority of the students were female. Symptoms of anxiety, depression, and insomnia were the main reasons for seeking care. Students who reported having emotional difficulties that negatively impacted their studies and those who had undergone some form of health treatment showed a higher probability of experiencing anxiety symptoms. Notable correlations were found between anxiety and emotional difficulties, depression and diarrhea, and insomnia and a sedentary lifestyle.

Conclusions: symptoms of anxiety, depression, and insomnia led students to seek psychiatric care at the university. Understanding the predisposing factors for mental health issues in university students can inform care strategies and promote academic success.

Objectives: to assess sleep quality of patients with heart failure and associated sociodemographic and clinical characteristics.

Methods: a cross-sectional study, developed with 88 patients. Sleep quality was assessed by the Pittsburgh Sleep Quality Index. The data were analyzed using descriptive and inferential statistics.

Results: the mean sleep quality score was 8.59 ± 3.60 points. 83% of participants were classified as poor sleepers. The number of hours of sleep was 5.99 ± 1.48. Family income of up to one minimum wage and functional class were significantly associated with poor sleepers. There was a positive correlation between functional class and poor sleep quality.

Conclusions: a high frequency of poor sleepers was identified. Worse scores were associated with family income and symptomatic functional class. Health interventions are necessary to control sleep quality, especially in relation to health functionality.

Objectives: to identify variables associated with nursing students' anxiety-related clinical practice.

Methods: this study used a correlational quantitative descriptive design with the STROBE equator instrument. The population is 233 nursing students with a sample of 135. Data were collected from March to April 2022 using validated instruments.

Results: the Chi-square test and the sig likelihood ratio on the gender, educational background, and learning environment is more than 0.05 so there is no significant relationship between the variables and student anxiety.

Conclusions: students need to be prepared again before entering the practice field. Qualitative research is needed too.

Objectives: to analyze the relationship between religion and professional experience with spiritual intelligence in nurses.

Methods: cross-sectional and analytical study carried out in 2021, with the participation of 544 nursing professionals working in health facilities in Peru during the COVID-19 pandemic. Multiple regression analysis and Pearson's correlation were used to analyze the data.

Results: in nurses, a healthy level of spiritual intelligence predominated (42.8%). Those who did not profess a religion were more likely to have a lower spiritual intelligence score (global scale and dimensions); however, experienced nurses were more likely to have higher spiritual intelligence (global scale and dimensions) than novice nurses (p<0.05).

Conclusions: spiritual intelligence in nurses was predicted by religion and professional experience. This finding suggests that spiritual intelligence in nursing is consolidated through religious practices and during professional practice.

Objectives: to understand how healthcare waste management is developed by nursing professionals in hospitals.

Methods: qualitative research, whose theoretical and methodological frameworks were Complexity Theory and Grounded Theory. Thirty-two nursing professionals from a public hospital in Rio de Janeiro participated in the study. Semi-structured interviews were used.

Results: nursing affects healthcare waste management multidimensionally. Shortage of materials and work overload were identified as factors that influence professionals' decision-making and increase the risk of improper waste disposal. The lack of knowledge on the subject also influences nursing practice. However, professionals value actions related to hazardous waste.

Final considerations: nursing professionals recognize themselves in healthcare waste management and understand the need to develop systemic awareness for sustainable practice.

Objectives: to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.

Methods: a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.

Results: a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).

Conclusions: a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.

Objectives: to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.

Methods: netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.

Results: principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women's experience.

Final considerations: it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.

Objectives: to summarize the recommendations of guidelines for promoting mental health in the workplace.

Methods: an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.

Results: four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention - worker protection; secondary prevention - promoting workers' mental health; and tertiary prevention - supporting, monitoring and rehabilitating workers upon returning to work.

Conclusions: the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.

Objectives: to develop and validate an educational booklet on labor and delivery for pregnant women.

Methods: this methodological study involved constructing and validating a booklet based on Echer's framework. We used the Content Validity Index and Cronbach's alpha for content and face validation, selecting judges according to Fering's criteria. We then conducted a clinical validation with the target population.

Results: the booklet, developed based on evidence from an integrative review and validated by judges and the target audience, achieved global Content Validity Index of 0.919 and 0.913, respectively. After clinical validation with 22 pregnant women, it included 28 topics and 48 pages, with illustrations by a graphic designer.

Conclusions: expert judges and the target audience considered this educational technology valid, deeming it a relevant tool for promoting the health of pregnant women.